Wenda K, Ritter G, Pedrosa P, Higer H P, Kreitner K F, Störkel S
Klinik und Poliklinik für Unfallchirurgie, Johannes Gutenberg-Universität Mainz.
Unfallchirurg. 1991 Jun;94(6):302-7.
MR-Imaging is well established as the most sensitive method for the diagnosis of avascular necrosis of the femoral head. In this paper preliminary results are analyzed in an attempt to clarify whether as in a vascular necrosis of the femoral head. MR changes after trauma or surgery allow conclusions concerning the vitality of the bone. Comparison of clinical, MR and histological findings revealed that we cannot yet differentiate between fibrosis of the bone marrow with sustained vitality of the osteocytes and bone necrosis. Therefore, conclusions with implications for therapy should be drawn with extreme care.
磁共振成像(MR-Imaging)已被公认为诊断股骨头缺血性坏死最敏感的方法。本文分析了初步结果,试图阐明在股骨头缺血性坏死中,创伤或手术后的磁共振变化是否能得出有关骨活力的结论。临床、磁共振和组织学检查结果的比较显示,我们尚无法区分骨髓纤维化伴骨细胞持续活力和骨坏死。因此,得出对治疗有影响的结论时应极其谨慎。